| 摘要: |
| ［摘要］ 目的 探讨超选择性肾动脉弹簧圈及弹簧圈+明胶海绵栓塞术治疗经皮肾镜取石术（PCNL）后严重肾出血的临床价值．方法 回顾性分析2013年3月至2015年3月昆明医科大学第二附属医院介入室51例使用单纯弹簧圈及弹簧圈+明胶海绵超选择性肾动脉栓塞术治疗PCNL术后肾出血患者的资料，对止血效果、并发症及栓塞注意事项进行分析． 结果 本组39例患者使用单纯弹簧圈栓塞，12例使用弹簧圈+明胶海绵栓塞，一次栓塞成功49例（成功率为96％），术后第 1～7 d 肉眼血尿消失，3～14 d镜下血尿消失，血红蛋白平稳上升．术后无严重并发症发生，随访1个月至1 a血压无明显变化．结论 超选择性肾动脉弹簧圈栓塞术为永久性栓塞，是治疗PCNL术后严重肾出血一种安全有效的方法． |
| 关键词: ［关键词］ 超选择性肾动脉栓塞 经皮肾镜取石术 出血 弹簧圈 明胶海绵 |
| DOI： |
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| 基金项目:［基金项目］ 云南省科技术厅－昆明医科大学联合专项基金资助项目 （2012FB045） |
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| Clinical Analysis of Ultra-selective Renal Artery Embolization Coil for Severe Renal Bleeding after PCNL |
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WANG Li－juan
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（Dept. of Nuclear Medicine，The Second Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China）
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| Abstract: |
| ［Abstract］Objective To investigate the clinical value of ultra-selective renal artery coil and coil + gelatin sponge embolization for severe renal hemorrhage after percutaneous nephrolithotomy lithotripsy（PCNL）. Methods We retrospectively analyze the data of 51 patients with severe renal hemorrhage after percutaneous nephrolithotomy lithotripsy who received simple coil and coil + gelatin sponge superselective renal artery embolization from March 2013 to March 2015 in the Interventional Chamber of the Second Affiliated Hospital of Kunming Medical University. The hemostatic effect，the incidence of complications and embolism precautions were analyzed．Results Simple coil embolization was used for 39 patients and spring ring + gelatin sponge embolization was used for 12 patients, and 49 cases of thrombosis were successful（a success rate of 96%），gross hematuria disappeared 1 to 7 days after embolization and microscopic hematuria disappeared and hemoglobin levels increased steadily 3 to 14 days after embolization. There were no serious complications, and no significant changes in blood pressure during one month to one year follow-up. Conclusion Superselective coil embolization of renal artery is a permanent embolization, and is a safe and effective method for severe renal hemorrhage after PCNL. |
| Key words: ［Key words］Ultra-selective renal artery embolization Percutaneous nephrolithotomy surgery Bleeding Coils Gel foam |